MPKV0831p Clinical Nutrition and Dietetics I - lecture

Faculty of Medicine
Spring 2011
Extent and Intensity
1/0. 0 credit(s). Type of Completion: -.
Teacher(s)
doc. MUDr. Miroslav Tomíška, CSc. (lecturer)
MVDr. Halina Matějová (assistant)
Guaranteed by
doc. MUDr. Miroslav Tomíška, CSc.
Department of Internal Gastroenterology – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine
Contact Person: MVDr. Halina Matějová
Course Enrolment Limitations
The course is only offered to the students of the study fields the course is directly associated with.
fields of study / plans the course is directly associated with
  • Health Sciences (programme LF, N-SZ, specialization Teaching Specialization Human Alimentation)
Course objectives
The aim of instruction in the course of Clinical Nutrition and Dietetics is to acquaint students of the Master study programme with various possibilities and ways of nutrition support in diseased individuals. The main content is formed by application of artificial clinical nutrition to hospitalised individuals in hospital conditions, but also to chronically ill persons in home conditions. The study comprises both the various ways of dietary intervention in disease, including peroral supplementation with nutrition preparations, and the procedure used in the indication and administration of both enteral and parenteral nutrition. An inseparable part of the instruction is represented by assessment of the nutritional state of individual patients with emphasis laid on detection of the malnutrition state. The students are capable of examining the nutritional state of individual patients and, basing on this, deciding on the respective suitable type of nutrition support.
Syllabus
  • Metabolism of amino acids and proteins and artificial nutrition. Glutamine, branched-chain amino acids, carnitine, and dipeptides in nutrition. Metabolism of saccharides and fats and artificial nutrition. MCT fats, n-3 unsaturated fatty acids, structured fats. Energy metabolism and nitrogen balance. Mutual relations between demands for energy and nitrogen. Analysis of body composition. Models of body composition. Anthropometry, hydrodensitometry, BIA, DXA, and other methods. The relationship between nutrition and immunity. Nutrition and cytokines. Nutrition and hormonal environment. Growth hormone, insulin, and catabolic hormones. Malnutrition of hospitalised patients, influence on physiological functions. Global assessment of nutritional state. Laboratory evaluation of nutritional state. Laboratory signs of deficit of individual nutrients. Peculiarities of nutrition in the course of life. Demands for nutrients during growth, gravidity, lactation, and in old age. Decision on the need for artificial clinical nutrition. A comparison of enteral and parenteral nutrition. Metabolic aspects of enteral intake of nutrients. Support of the function of intestine during enteral nutrition. Composition of enteral nutrition. Metabolic aspects of parenteral intake of nutrients; advantages and disadvantages. Characterisation of the composition of parenteral nutrition. Metabolic response to artificial clinical nutrition. Objective of nutritional support. Monitoring of the effect of artificial clinical nutrition. Complications of enteral and parenteral artificial clinical nutrition. Refeeding syndrome. Overfeeding.
Literature
  • SVAČINA, Štěpán. Klinická dietologie. 1. vyd. Praha: Grada, 2008, 381 s. ISBN 9788024722566. info
  • Nutritional oncology. Edited by David Heber. 2nd ed. Amsterdam: Elsevier-Academic Press, 2006, xxiv, 822. ISBN 0120883937. info
  • Basics in clinical nutrition. Edited by Luboš Sobotka - S. P. Allison. 3rd ed. Prague: Galén, 2004, 500 s. ISBN 8072622927. info
  • NAVRÁTILOVÁ, Miroslava, Eva ČEŠKOVÁ and Ladislav SOBOTKA. Klinická výživa v psychiatrii. Praha: Maxdorf-Jesenius, 2000, 270 pp. ISBN 80-85912-33-3. info
  • KELLER, U., R. MEIER and S. BERTOLI. Klinická výživa. Translated by Z. Slabochová. 1. vyd. Praha: Scientia Medica, 1993, 236 s. ISBN 80-85526-08-5. info
Assessment methods
lecture, credit
Language of instruction
Czech
Follow-Up Courses
The course is also listed under the following terms Spring 2000, Spring 2001, Spring 2002, Spring 2003, Spring 2004, Spring 2005, Spring 2006, Spring 2007, Spring 2008, Spring 2009, Spring 2010.
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